NY-Independent-General-Adjuster考試資訊,NY-Independent-General-Adjuster考證

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Insurance Licensing NY-Independent-General-Adjuster Exam Syllabus Topics:
| Section | Weight | Objectives |
|---|
| Insurance Regulation | 6% | - Licensing Requirements
- 1. Bond and Fingerprinting
- 2. Qualifications and Application
- Claim Settlement Regulations
- 1. Consumer Privacy
- 2. Unfair Claim Practices
- License Maintenance
- 1. Assumed Names and Reporting
- 2. Renewal and Changes
- Disciplinary Actions
- 1. Penalties and Cease and Desist Orders
- 2. Suspension and Revocation
|
| Accident and Health Insurance Basics | 6% | - Types of Coverage
- 1. Disability, Medical and Long-Term Care
- 2. Accidental Injury and Sickness
- Accident and Health Claims
- 1. Investigation and Payment of Claims
- 2. Notice and Proof of Loss
- Limited Policies
- 1. Accident-Only and Specified Disease
- 2. Hospital, Dental and Vision Coverage
|
| Dwelling Policy | 6% | - Coverage Forms and Perils
- 1. Covered Perils
- 2. Basic, Broad and Special Forms
- Exclusions, Conditions and Endorsements
- 1. General Exclusions and Conditions
- 2. New York and Selected Endorsements
- Property Coverages
- 1. Personal Property and Loss of Use
- 2. Dwelling and Other Structures
|
| Insurance Basics | 6% | - Insurance Principles
- 1. Causes and Valuation of Loss
- 2. Insurable Interest and Indemnity
- 3. Hazards, Negligence and Liability
- Policy Structure
- 1. Declarations, Conditions and Exclusions
- 2. Subrogation, Salvage and Loss Settlement
- 3. Limits, Deductibles and Other Insurance
- Insurance Contracts
- 1. Elements and Characteristics
- 2. Representations, Warranties and Concealment
|
| Commercial Package Policy | 38% | - Commercial Policy Components
- 1. Common Policy Conditions
- 2. Common Policy Declarations
- Transportation Coverages
- 1. Transit Coverage
- 2. Common Carrier Legal Liability
- 3. Motor Truck Cargo
- Commercial Inland Marine
- 1. Marine Definition and Conditions
- 2. Contractors Equipment and Installation Floaters
- 3. Jewelers Block, Signs and Electronic Data Processing
- 4. Accounts Receivable and Valuable Papers
|
| Medical Reports and Terminology | 4% | - Medical Terminology
- 1. Prefixes, Suffixes and Abbreviations
- 2. Medical Specialties
- Basic Human Anatomy
- 1. Cardiovascular and Abdominal Systems
- 2. Skeletal, Nervous and Respiratory Systems
- Injuries, Diseases and Medical Tests
- 1. Diagnostic Tests
- 2. Common Injuries and Diseases
|
| Adjusting Losses | 11% | - Claim Investigation
- 1. Claim Reporting and Documentation
- 2. Evidence and Witness Statements
- Role of the Adjuster
- 1. Duties and Responsibilities
- 2. Independent, Staff and Public Adjusters
- Property and Liability Losses
- 1. Coverage Verification and Loss Evaluation
- 2. Estimates, Depreciation and Salvage
- Claim Settlement
- 1. Negotiation and Releases
- 2. Subrogation, Appraisal and Arbitration
|
| Homeowners Policy | 10% | - Property Coverages
- 1. Loss of Use and Additional Coverages
- 2. Dwelling, Other Structures and Personal Property
- Perils, Exclusions and Conditions
- 1. Exclusions and Conditions
- 2. Perils Insured Against
- Coverage Forms
- 1. HO-2 through HO-6
- 2. HO-8
- Liability Coverages
- 1. Personal Liability
- 2. Medical Payments to Others
- Selected Endorsements
- 1. New York Special Provisions
- 2. Earthquake, Identity Fraud and Home Business
|
| Personal Inland Marine | 13% | - Personal Effects Floater
- 1. Coverage and Loss Settlement
- Personal Articles Floater
- 1. Scheduled Personal Property
- Personal Property Floater
- 1. Coverage and Eligible Property
|
>> NY-Independent-General-Adjuster考試資訊 <<
一流的Insurance Licensing NY-Independent-General-Adjuster考試資訊是行業領先材料和正確的NY-Independent-General-Adjuster:NewYorkIndependent General Adjuster (Series 17-70)
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最新的 New York Insurance NY-Independent-General-Adjuster 免費考試真題 (Q39-Q44):
問題 #39
If a businessowner has a loss, which of the following will the insurer REQUIRE from the insured to assist in the business interruption portion of the claim?
- A. Production of list of furniture and fixtures.
- B. Production of books and records, including taxes and all schedules.
- C. Submission to an insurer's onsite inspection request.
- D. Examination under oath.
答案:B
解題說明:
The correct answer is A. A business interruption or Business Income claim requires documentary evidence sufficient to establish what the business would probably have earned had the covered loss not occurred.
Financial records are therefore indispensable. Relevant documentation commonly includes profit-and-loss statements, sales records, payroll information, general ledgers, prior financial statements, income-tax returns, and associated tax schedules.
The standard Business Income coverage conditions authorize the insurer, as often as reasonably required, to examine the insured's books and records and make copies. This enables the adjuster to reconstruct historical income, determine continuing and noncontinuing expenses, identify trends, evaluate the period of restoration, and calculate the actual Business Income loss.
An examination under oath can also be required during a claim investigation, but it is not the best answer to what specifically assists with the business interruption calculation. Furniture and fixture inventories principally support physical property claims. An onsite inspection likewise assists investigation but does not provide the financial evidence needed to quantify lost earnings.
The official Series 17-70 outline specifically tests Business Income/Extra Expense, Business Interruption/time element, and the insured's duty to produce books and records after loss.
問題 #40
A producer is REQUIRED to report to the Commissioner any criminal prosecution taken in any jurisdiction against him within how many days of the initial pre-trial hearing date?
答案:D
解題說明:
The correct answer is B - 30 days. New York Insurance Law §2110(j) requires a licensee subject to Article
21 to report any criminal prosecution taken against the licensee in any jurisdiction within 30 days of the initial pretrial hearing date. The report must include the initial complaint, the resulting order, and other relevant legal documents.
New York DFS enforcement actions continue to apply this requirement directly. DFS has disciplined licensees, including independent adjusters, for failing to notify the Department within the required 30-day period following the initial pretrial hearing date.
There is one terminology point to correct for New York examination purposes: the statute requires notification to the Superintendent of Financial Services, not a "Commissioner." The 30-day answer, however, remains unchanged.
Do not confuse criminal-prosecution reporting with the separate requirement under §2110(i) for administrative actions. Administrative actions taken in another jurisdiction or by another governmental agency must generally be reported within 30 days of the final disposition of that matter.
Series 17-70 reference topics: Insurance Regulation - Licensing, Maintenance of License, Disciplinary Actions, Reporting Requirements, and New York Insurance Law §2110.
問題 #41
Regarding insurance coverage for employment practices exposures, which one of the following statements is TRUE?
- A. The commercial general liability policy covers employment practices liability as part of its basic professional liability coverage.
- B. Employment practices liability policies cover losses arising out of wrongful terminations, discrimination, and sexual harassment.
- C. Employment practices liability insurance is purchased as an endorsement to the directors and officers policy, but cannot be purchased separately.
- D. Employment practices liability policies cover suits by employees who are injured on the job.
答案:B
解題說明:
The correct answer is C. Employment Practices Liability Insurance (EPLI) is specifically designed to address claims arising from wrongful employment-related conduct. Core exposures include wrongful termination, workplace discrimination, sexual harassment, retaliation, and other specified employment practices. Current EPLI coverage descriptions expressly identify discrimination, harassment, and wrongful termination as principal covered allegations.
Option A is incorrect because EPLI may be written as a standalone policy or incorporated within broader management-liability programs. It is not restricted to being an endorsement to Directors and Officers insurance.
Option B is incorrect because the standard Commercial General Liability policy is not basic professional or employment-practices liability insurance. In fact, many employment-related practices exposures are specifically excluded or inadequately addressed under conventional CGL coverage.
Option D concerns occupational bodily injury. An employee physically injured in the course of employment would ordinarily look to Workers Compensation and Employers Liability, not EPLI. EPLI primarily addresses wrongful employment decisions and conduct rather than workplace accident injuries.
The adjuster must therefore distinguish an employment-practices wrongful act from an employment-related bodily injury. One is principally a management/professional liability exposure; the other is a Workers Compensation/employers liability exposure.
Therefore, C accurately describes the purpose of EPLI.
問題 #42
Steve was involved in an automobile accident. He does NOT agree with the settlement offer by the insurer. Which common policy provision allows Steve to dispute the settlement offer?
- A. Arbitration.
- B. Preferred settlement.
- C. Market value clause.
- D. Competitive bid.
答案:A
解題說明:
The correct answer is D - Arbitration. Arbitration is a dispute-resolution mechanism in which a disagreement is submitted to a neutral arbitrator or arbitration panel rather than being resolved solely through continued negotiations between the parties. Depending on the insurance coverage and policy provision involved, arbitration may be used to resolve specified disputes concerning entitlement to recovery, damages, or other issues identified in the contract or applicable law.
The question states that Steve rejects the insurer's settlement offer and asks which common policy provision provides a mechanism for disputing the settlement. Of the available choices, arbitration is the only recognized dispute-resolution provision.
A preferred settlement is not a standard policy dispute mechanism. A competitive bid is an estimating or procurement technique and does not determine contractual disputes between an insured and insurer. A market value clause concerns valuation methodology and does not itself create a formal procedure for resolving a contested settlement.
An adjuster must also distinguish arbitration from appraisal. Appraisal is commonly designed to resolve disputes solely over the amount of property loss, whereas arbitration can address disputes according to the scope established by the applicable contract or statute.
Series 17-70 reference topics: Auto Insurance - Claim Settlement, Arbitration, Appraisal, Loss Valuation, and Dispute Resolution.
問題 #43
An adjuster cannot contact the insured or claimant once they retain the services of
- A. an appraiser except in arbitration.
- B. a private investigator.
- C. an attorney except with permission.
- D. a medical professional.
答案:C
解題說明:
The correct answer is A - an attorney except with permission. Once an insured or claimant is represented by counsel regarding a particular claim or dispute, communications concerning that represented matter must respect the attorney-client relationship. New York's Rule of Professional Conduct 4.2 prohibits an attorney from communicating, or causing another person to communicate, about the subject of the representation with a person known to be represented by another lawyer unless prior consent is obtained from that lawyer or the communication is otherwise authorized by law.
For adjusters, this means claim communications involving a represented claimant should ordinarily be routed through the claimant's attorney when the representation encompasses the matter being adjusted. The purpose is to prevent interference with legal representation, inappropriate direct negotiation, or uncounseled disclosure concerning the claim.
Retention of an appraiser, physician, or private investigator does not automatically establish the same restriction. Those professionals may participate in valuation, treatment, or investigation, but they do not substitute for legal counsel.
The Series 17-70 outline expressly tests the role and responsibilities of the adjuster and the adjuster's relationship to the legal profession, making recognition of represented parties an important claims-handling principle.
Therefore, A is correct.
問題 #44
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